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NPI Code Detail

MEDICARE: MARY HOA NGUYEN RN, BSN

MEDICARE:   MARY HOA NGUYEN  RN, BSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN95245150CA
2163WS0200XSchool Registered Nurse250004097CA

General Provider Information

NPI Number : 1336006725
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY HOA NGUYEN RN, BSN
Provider Business Mailing Address
First Line : 42875 GATEWOOD ST
Second Line :
City : FREMONT
State : CA
Zip : 94538-4131
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 42875 GATEWOOD ST
Second Line :
City : FREMONT
State : CA
Zip : 94538-4131
Country : US
Telephone Number : 510-656-6438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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